11D1058506 CLIA NUMBER - TOWER MEDICAL GROUP AT MEREDYTH

Laboratory Demographics

  • CLIA Code: 11D1058506
  • Facility Name: TOWER MEDICAL GROUP AT MEREDYTH
  • Facility Address: 2709 MEREDYTH DRIVE SUITE 330
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 312-9351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONISOLA SANUSI
  • NPI Number: 1952319642
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1058506
LAB Type Physician Office
Facility Name TOWER MEDICAL GROUP AT MEREDYTH
Street 2709 MEREDYTH DRIVE SUITE 330
City ALBANY
State GA
ZIP 31707
Phone 229 312-9351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director MONISOLA SANUSI

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This page was last updated on: 9/29/2025